NPIMap

Organization Active NPI

Pediatric Therapy Services Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Mankato, MN
National Provider Identifier
1376514539
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PEDIATRIC THERAPY SERVICES INC
Practice address
150 Saint Andrews CT
Suite 310
Mankato, MN 56001-8659
Phone
(507) 388-5437
Fax
(507) 388-2108
NPI assigned
Jan 27, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nancy D Dobson, RPTNPI 1043281223
Title
Ceo
Phone
(507) 388-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

National Provider Directory

Locations

309 Holly Ln
Mankato, MN 56001
Phone (507) 388-2120

150 Saint Andrews Ct
Ste 310
Mankato, MN 56001
Phone (507) 388-5437

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

NPPES NPI Registry

Primary practice location

150 Saint Andrews CT
Suite 310
Mankato, MN 56001-8659

Mailing address

150 Saint Andrews CT
Suite 310
Mankato, MN 56001-8659
Phone (507) 388-5437

Other identifiers 7

NPPES NPI Registry
IdentifierTypeStateIssuer
123219OtherMNUCARE OF MN
78430OtherMNHEALTH PARTNERS, MN
211329500MedicaidMN
8B515PEOtherMNBCBS OF MN PT CLINIC #
8G323PEOtherMNBCBS OT CLINIC #
8G374PEOtherMNBCBS SPEECH #
PREFERRED ONEOtherMNPREFERRED ONE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2014.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1376514539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SAINT ANDREWS CT",
            "address_2": "SUITE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018659",
            "telephone_number": "507-388-5437",
            "fax_number": "507-388-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAINT ANDREWS CT",
            "address_2": "SUITE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018659",
            "telephone_number": "507-388-5437",
            "fax_number": "507-388-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-388-5437",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE OF MN",
            "identifier": "123219",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS, MN",
            "identifier": "78430",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211329500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN PT CLINIC #",
            "identifier": "8B515PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OT CLINIC #",
            "identifier": "8G323PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SPEECH #",
            "identifier": "8G374PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "PREFERRED ONE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.